Perspectives on Safety

Perspectives on Safety

Root Cause Analysis: What Have We Learned?

INTERVIEW

In Conversation With... James P. Bagian, MD, PE

Dr. Bagian is Director of the Center for Healthcare Engineering and Patient Safety at the University of Michigan, and a former astronaut. He co-chaired the team that produced the influential NPSF report entitled, RCA2: Improving Root Cause Analyses and Actions to Prevent Harm.

PERSPECTIVE

Errors and Near Misses: What Health Care Could Learn From Aviation

Carl Macrae, PhD

This piece explores how strategies from aviation, such as just culture and monitoring technologies, can be applied in health care to improve patient safety.

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